Neurology Medical News about Pain Sleep Disorders

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. 2008 Exclusive Survey—Earnings: Good news for primary care income

3. Medicare pay-for-reporting effort draws fire from frustrated doctors

4. Debunking Myths in the US Healthcare System

5. Doctors and the DEA Free full text

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

What Is the Evidence for Chronic Pain Being Etiologically Associated with the DSM-IV Category of Sleep Disorder Due to a General Medical Condition? A Structured Evidence-Based Review
Pain Medicine, 09/28/09

Fishbain DA et al. – The results of this evidence–based structured review indicate that for the pain–sleep studies defined by the DSM–IV category of sleep disorder due to a general medical condition,chronic pain may be etiologically related to that sleep problem. However, these results do not preclude this relationship from being bidirectional.

Methods

Computer and manual literature searches yielded 146 references that addressed this area of study.
41 studies were reviewed in detail and sorted according to six natural groupings: multivariate analysis, prospective studies, path analysis, correlation between pain and sleep problems, univariate analysis using comparison groups, and do nonsedating drugs with analgesic properties improve sleep.
Each study was independently evaluated by two raters according to 12 quality criteria and an independent quality score was calculated.
For each of the above groupings, an average quality score was calculated and a calculation performed as to the percentage of studies that supported the hypothesis that pain is etiologically related to the above DSM–IV category of sleep disorders.
Finally, the strength and consistency of the evidence for this hypothesis was rated according to the AHCPR guidelines.

Results

Of the 41 reports, all had quality scores greater than 60%.
In all the above groupings except for multivariate analysis, 100% of the studies supported this hypothesis.
In the multivariate analysis grouping, 77.2% of the studies supported this hypothesis.
The strength and consistency of this evidence was rated at A (highest possible) for all study groupings except multivariate (B rating) and path analysis where there were too few studies to generate a conclusion.
For all the studies combined, 89.7% of the studies supported this hypothesis. This evidence was rated as A: consistent, multiple studies.

<< Previous
The Eating Attitudes in Multiple Sclerosis Patients

Next >>
Intravenous Immunoglobulin for the Treatment of Diabetic...